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,,,,SANTA <br />ANA <br />ILil\N <br />IXIILDIII <br />tu\0 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol41 CBC 2013 <br />Solar Photovoltaic (PV) Checklist for Detached SINcLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the certilication section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 1 1" x 17' size. lf answerino NO to anv of the ouestions. plan check shall be roquired. <br />ce-. <br />Contractor Company Name: <br />Contractor License Number:aa'I <br />Are the following applicable to the proposed project? <br />Will the PV syslem layout provide the required three-foot wide clear access pathways <br />per Section 605.1 1 of the California Fire Code, and is this shown on the roof plan? <br />Will the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />Will the PV anay be flush mounted to the existing roof so that the plan6 of the <br />modules (panels) ara parallel to the plane of the roof? <br />Will the PV system weigh maximum 4 pounds per square feet or less? <br />Will the PV system be installed where the modules do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />Will the PV system be installed with a space of 2" minimum to 10' m.ximum between <br />the underside of modules and the surface of the roof? <br />\ryill the PV system be installed without using any ballast system or counter-weight <br />system? <br />Will the anchors be installed with a maximum horizontal anchor spacing of 6 feet <br />and is this maximum horizontal spacing shown on the plans? <br />Will the minimum 5/16'lag screws be installed with a minimum of 2-1l2 inch <br />embedment into roof rafters (with pre-drilled holes) and is this minimum embedment <br />shown on the plans? <br />Are ALL the structural pages of the plans stamped and signed by a Califomia <br />licensed professional engineer? (including project specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturefs PV support information.) <br />I certify under penalty of periury der the laws of the State of California that the t3 <br />Print Name:Signature <br />Phone Number: <br />Email Address /1s <br />Rev:11/19/2015 <br />4lo { <br />1 <br />YEF NO&a <br />(a <br />tro <br />So <br />trtr <br />2 <br />3 <br />4 <br />5 <br />U FD <br />?Btr <br />u Hu <br />g htr <br />FD10 <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Contor Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www,santa-ana.org <br />Projec{ Address: <br />n